Organization
NEWBURY FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M TAKACS D.O. (PRESIDENT)
(440) 564-5656
Entity
Organization
Contact information
Practice address
10780 KINSMAN RD, NEWBURY, OH 44065-9792
(440) 564-5656
(440) 564-5719
Mailing address
10780 KINSMAN RD, PO BOX 537, NEWBURY, OH 44065-9792
(440) 564-5656
(440) 564-5719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712689 2090759
—
OH
Enumeration date
04/05/2006
Last updated
01/20/2011
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